130例外伤性脾破裂的治疗分析  

Analysis of the treatment for 130 cases of traumatic spleen rupture

作　　者：刘永庆[1] 吕德超[1] 解光艾[1] 

机构地区：[1]安徽省立医院,合肥230001

出　　处：《安徽卫生职业技术学院学报》2005年第1期29-31,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨不同程度外伤性脾破裂的各种治疗方式.方法:总结分析130例外伤性脾破裂的各种处置方式及治疗效果.结果:129例痊愈,1例死亡.结论:Ⅰ级脾破裂不合并空腔脏器破裂者采用非手术保守治疗,Ⅱ～Ⅲ级及部分Ⅳ级脾破裂者采用PSE及脾脏可吸收网套捆扎治疗,部分Ⅳ级脾破裂和(或)合并严重休克者,或合并空腔脏器破裂者及Ⅳ级以上脾破裂者应在积极抗休克的同时行脾切除术,条件许可的情况下可加做自体脾片大网膜移植术.Objective To explore a series of treatment methods of traumatic spleen rupture in different degrees. Methods The data of 130 patients were analysed and summarized in a variety of management ways and treatment effects with traumatic spleen rupture from January 1st,2000 to December 31st, 2002. Results 129 cases recoveredwhile 1 case died.Conclusion The spleen rupture patients of no-associated hollow-viscera injury in grade Ⅰ were treated with no-operation. The grade Ⅱ-Ⅲ and the part of grade Ⅳ were treated with partial splenic embolization(PSE) and absorbent mesh wrapped around spleen.The grade Ⅴ and the part of grade Ⅳ cases associated hollow-viscera injury and severe shock were resolutely splenectomized; meanwhile, patients must be actively treated with anti-shock. If possible, autoplasty of spleen should be performed.

关 键 词：脾破裂 部分脾动脉栓塞(PSE) 自体脾片大网膜移植术 捆扎 

分 类 号：R657.6[医药卫生—外科学]